Tess Yong Kim, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0217631 Issued in NM

Practice address

1102 Mountain Rd NW Ste 202
Albuquerque, NM 87102-1855

Phone

(808) 772-3144

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shavano Counseling ServicesGroup PAC ID 2062931942, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shavano Counseling Services

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1710323829

  Mental Health, NM

  Medicare reassignment Care Compare group NPD
• Tess Kim Therapeutics Mental Health Services

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1447124243

  NM

  Medicare reassignment NPD Authorized official
• Juan Casaus LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1952813131

  Mental Health

  NPD
• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1972049104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 ORTIZ DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081444",
            "telephone_number": "808-772-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MOUNTAIN RD NW STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021855",
            "telephone_number": "808-772-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Marquette Ave NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025340",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TESS",
        "middle_name": "YONG",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0217631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Jung Kim
• Mike Kim, PSY.D.
• Sang Wan Kim, PHARMD
• Seo Young Kim
• Soo Jin Kim, PHARMD
• April E Kimball, FNP-BC
• Kayla R Kimball, RN
• Bailey Elizabeth Kimbel, CNP
• Brian Timothy Kimber, MSW
• Kimberly Pajor-Perrin Therapy Services, Inc

• All providers in Albuquerque, NM
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.